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冠心病合并2型糖尿病患者血脂水平和冠脉特点分析 被引量:17

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摘要 目的分析冠心病合并2型糖尿病患者血脂水平及冠脉特点。方法选择2007年1月—2011年12月在我科住院的冠心病患者460例,均经冠脉造影确诊,即至少一支心外膜下血管狭窄≥50%。其中合并糖尿病患者320例(69.6%)。根据有无合并糖尿病分为:冠心病合并糖尿病组(DM组),冠心病非合并糖尿病组(NDM组)。比较两组血脂、冠脉病变情况。结果 DM组患者总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)水平,较NDM组差异有统计学意义(P<0.05)。DM组患者冠脉三支病变、弥漫性病变及冠脉病变程度Ⅲ度、Ⅳ度者较NDM组明显增多,差异有统计学意义(P<0.05)。结论冠心病合并糖尿病患者血脂水平TC、TG、LDL-C较无合并糖尿病组明显升高,且冠脉硬化病变范围更广,病变程度更严重。
作者 张雪梅
机构地区 北京市第六医院
出处 《中西医结合心脑血管病杂志》 2012年第11期1296-1298,共3页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
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